HomeMy WebLinkAboutMechanical 03-0614
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
SCHEDULED
~/]o
ADDRESS
/ C qrr I
vvr/(w ~.A
OWNER
PHONE NO.
CONTR.
PERMIT NO.
1- C fe(
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
rV,r1ctr
COMMENTS:
--
(
(/LO;c
"-
~,-
----
1/1
~ ..........
\
\
)
/
/
------
-- ,
(/L: (,
I ,'--
;1 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: fYP ~ ~O-rf7
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
622-_03
I. Pink File PERMIT NO
2. Green City . /)'7 _ ^ /' I'" ...
3. Yellow Applicant (...0 V (0 , ~
tt'lease type or print and si~ at bottom)
ADDRESS I , A q q
lQ U vJ;
OI!\J
LafJL
ZONING (office use)
LEGAL DESCRlt'uON (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
L-a~
~
(Au K-
(Phone) QS:J.-1./L/7- d.fo 4K
OWNER
(Name)
APPLICANT
(Name)
aumsville HeatinQ & Ale, Inc.
12481 Rhode Island Ave. So.
~aveg$, MN 55378-1122
(Address) (City)
(Contact Person) J lM.A<r_ (Phone) q-5:2. -<:gCJ 4- 0005
APPLICANTSIGNATURE~ Q, ~~ DATE 5-;;ZO-03
. APPL~CANT ~LEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
(Phone)
(Address)
(Zip Code)
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
REA TING OR POWER PLANT
OUTPUT
OWarm Air Plants
OGravity
o Mechanical
IIaAir Conditioning
OVent. System
o Steam
/IPn/' 0 Hot Water
t,.et1"v I' 0 Radiation
H 5 V it IS- 0 ')1 10 Special De.vices
r -, 0 Other DeVices
d- .,- vN
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $39.50
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations $39.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39.50
I') 'F'\ 1)0 4-
Estimated Cost $ o(,IOLJO I BuildingPermit # as-OG f
/
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.z;g I SV
.50
'-l Q. 00
"ffice Use Only)
Building Official
Date
Pa*o.o 0
D~e.... 2-z.o3
Receipt ~-t'? 75
By ~.
U
ihis Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372